Provider Demographics
NPI:1790420818
Name:CURRAN, SARA J (LBS)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:J
Last Name:CURRAN
Suffix:
Gender:F
Credentials:LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 HAVERFORD RD
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-1716
Mailing Address - Country:US
Mailing Address - Phone:215-266-5276
Mailing Address - Fax:
Practice Address - Street 1:2930 HAVERFORD RD
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1716
Practice Address - Country:US
Practice Address - Phone:215-266-5276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-03
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000644103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst